Kiovan Rusin taistelu Jerusalemista : Iigorin sotaretki (1185) ja Hattinin taistelu (1187)

Artikkeli kertoo 1100-luvun lopun ja 1200-luvun alun Kiovan yhteyksistä tuon aikakauden kuuluisimpiin ristiretkitarinoihin. Sen merkittävä tutkimustulos on, että kuuluisa Iigorin laulu, sekä Iigorin sotaretkestä kertovat kronikka-passukset ovat selkeästi saaneet vaikutteita Hattinin taistelun uutisoinnista ristiretkikronikoissa.Peer reviewe

Newly graduated nurses' empowerment regarding professional competence and other work-related factors

cited By 1Peer reviewe

Interconnection alternatives for hierarchical monitoring communication in parallel SoCs

Interconnection architectures for hierarchical monitoring communication in parallel System-on-Chip (SoC) platforms are explored. Hierarchical agent monitoring design paradigm is an efficient and scalable approach for the design of parallel embedded systems. Between distributed agents on different levels, monitoring communication is required to exchange information, which forms a prioritized traffic class over data traffic. The paper explains the common monitoring operations in SoCs, and categorizes them into different types of functionality and various granularities. Requirements for on-chip interconnections to support the monitoring communication are outlined. Baseline architecture with best-effort service, time division multiple access (TDMA) and two types of physically separate interconnections are discussed and compared, both theoretically and quantitatively on a Network-on-Chip (NoC)-based platform. The simulation uses power estimation of 65 nm technology and NoC microbenchmarks as traffic traces. The evaluation points out the benefits and issues of each interconnection alternative. In particular, hierarchical monitoring networks are the most suitable alternative, which decouple the monitoring communication from data traffic, provide the highest energy efficiency with simple switching, and enable flexible reconfiguration to tradeoff power and performance. (C) 2009 Elsevier B.V. All rights reserved

Congruence between perceived and theoretical knowledge before and after an internet-based continuing education program about VLU nursing care

Background: Previous research has revealed nurses' knowledge gaps in venous leg ulcer (VLU) nursing care, and continuing education is needed. The closer nurses' perceived knowledge is to their evidence-based theoretical knowledge, the better possibilities they have to conduct evidence-based VLU nursing care.Objectives: To assess the congruence between nurses' perceived and theoretical knowledge about VLU nursing care before and after an internet-based education about VLU nursing care (eVLU).Design: Quasi-experimental study with intervention and comparison groups and pre- and post-measurements.Setting: Home health care in two Finnish municipalities.Participants: Nurses (n = 946) working in home health care were invited to participate. In the intervention group, 239 nurses and 229 nurses in the comparison group met the inclusion criteria, and they were all recruited to the study.Method: Nurses were divided into intervention and comparison groups with lottery between the municipalities. Nurses in both groups took care of patients with VLU according to their organizations' instructions. In addition to this, nurses in the intervention group received a 6-week eVLU while those in the comparison group did not. Data were collected with a questionnaire about perceived and theoretical knowledge before education, at six weeks, and at 10 weeks. The percentages of congruence were calculated at every measurement point, and the McNemar test was used to detect statistical significance of changes between measurements.Results: The increase of congruence was more often statistically significant in the intervention group than in the comparison group.Conclusion: The results support the hypothesis that the congruence between perceived and theoretical knowledge will be higher among nurses receiving eVLU. Because of the low participation and drop-outs, the results should be interpreted with caution.</p

Newly graduated nurses' empowerment regarding professional competence and other work-related factors.

BACKGROUND Although both nurse empowerment and competence are fundamental concepts of describing newly graduated nurses' professional development and job satisfaction, only few studies exist on the relationship between these concepts. Therefore, the purpose of this study was to determine how newly graduated nurses assess their empowerment and to clarify professional competence compared to other work-related factors. METHODS A descriptive, cross-sectional and correlational design was applied. The sample comprised newly graduated nurses (n = 318) in Finland. Empowerment was measured using the 19-item Qualities of an Empowered Nurse scale and the Nurse Competence Scale measured nurses' self-assessed generic competence. In addition to demographic data, the background data included employment sector (public/private), job satisfaction, intent to change/leave job, work schedule (shifts/business hours) and assessments of the quality of care in the workplace. The data were analysed statistically by using Spearman's correlation coefficient as well as the One-Way and Multivariate Analysis of Variance. Cronbach's alpha coefficient was used to estimate the internal consistency. RESULTS Newly graduated nurses perceived their level of empowerment and competence fairly high. The association between nurse empowerment and professional competence was statistically significant. Other variables correlating positively to empowerment included employment sector, age, job satisfaction, intent to change job, work schedule, and satisfaction with the quality of care in the work unit. The study indicates competence had the strongest effect on newly graduated nurses' empowerment. CONCLUSIONS New graduates need support and career opportunities. In the future, nurses' further education and nurse managers' resources for supporting and empowering nurses should respond to the newly graduated nurses' requisites for attractive and meaningful work

End-to-end security scheme for mobility enabled healthcare Internet of Things

We propose an end-to-end security scheme for mobility enabled healthcare Internet of Things (IoT). The proposed scheme consists of (i) a secure and efficient end-user authentication and authorization architecture based on the certificate based DTLS handshake, (ii) secure end-to-end communication based on session resumption, and (iii) robust mobility based on interconnected smart gateways. The smart gateways act as an intermediate processing layer (called fog layer) between IoT devices and sensors (device layer) and cloud services (cloud layer). In our scheme, the fog layer facilitates ubiquitous mobility without requiring any reconfiguration at the device layer. The scheme is demonstrated by simulation and a full hardware software prototype. Based on our analysis, our scheme has the most extensive set of security features in comparison to related approaches found in literature. Energy-performance evaluation results show that compared to existing approaches, our scheme reduces the communication overhead by 26% and the communication latency between smart gateways and end users by 16%. In addition, our scheme is approximately 97% faster than certificate based and 10% faster than symmetric key based DTLS. Compared to our scheme, certificate based DTLS consumes about 2.2 times more RAM and 2.9 times more ROM resources. On the other hand, the RAM and ROM requirements of our scheme are almost as low as in symmetric key-based DTLS. Analysis of our implementation revealed that the handover latency caused by mobility is low and the handover process does not incur any processing or communication overhead on the sensors. (C) 2016 Elsevier B.V. All rights reserved

Data transmission at 1.3 µm using hybrid integrated silicon interposer and GalnNAs/GaAs electroabsorption modulator

Transmission of NRZ data at 12.5 Gbit/s is demonstrated using a hybrid integrated silicon photonics optical interconnect. The interconnect comprises a dilute nitride quantum well electroabsorption modulator on GaAs substrate, which is optically coupled to large core Si waveguide

Use of CNS medications and cognitive decline in the aged: a longitudinal population-based study

<p>Abstract</p> <p>Background</p> <p>Previous studies have found associations between the use of central nervous system medication and the risk of cognitive decline in the aged. Our aim was to assess whether the use of a single central nervous system (CNS) medication and, on the other hand, the combined use of multiple CNS medications over time are related to the risk of cognitive decline in an older (≥ 65 yrs) population that is cognitively intact at baseline.</p> <p>Methods</p> <p>We conducted a longitudinal population-based study of cognitively intact older adults. The participants were 65 years old or older and had Mini-Mental State Examination (MMSE) sum scores of 24 points or higher. The study included a 7.6-year follow-up. The use of benzodiazepines and related drugs (BZDs), antipsychotics (APs), antidepressants (ADs), opioids (Ops), anticholinergics (AChs) and antiepileptics (AEs) was determined at baseline and after a 7.6-years of the follow-up period. Cognitive functioning was used as an outcome variable measured with MMSE at baseline and at the mean follow-up of 7.6 years. Control variables were adjusted with analyses of covariance.</p> <p>Results</p> <p>After adjusting for control variables, the use of Ops and the concomitant use of Ops and BZDs as well as the use of Ops and any CNS medication were associated with cognitive decline. The use of AChs was associated with decline in cognitive functioning only in men.</p> <p>Conclusions</p> <p>Of all the CNS medications analyzed in this study, the use of Ops may have the greatest effect on cognitive functioning in the ageing population. Due to small sample sizes these findings cannot be generalized to the unselected ageing population. More studies are needed concerning the long-term use of CNS medications, especially their concomitant use, and their potential cognitive effects.</p

Data transmission at 1300 nm using optical interposer comprising hybrid integrated silicon waveguide and dilute nitride electroabsorption modulator

High speed back-to-back transmission of NRZ data at 12.5 Gbit/s was achieved over a repeaterless optical network without the use of forward error correction or optical clock recovery using a hybrid integrated silicon photonics optical interconnect. The interconnect comprises an electroabsorption modulator based on dilute nitride multiple quantum well material on GaAs substrate optically coupled to large core silicon waveguide using passive alignment and flip-chip bonding

Effects of risk-based multifactorial fall prevention on health-related quality of life among the community-dwelling aged: a randomized controlled trial

BACKGROUND: This study aimed to assess the effects of a risk-based, multifactorial fall prevention programme on health-related quality of life among the community-dwelling aged who had fallen at least once during the previous 12 months. METHODS: The study is a part of a single-centre, risk-based, multifactorial randomised controlled trial. The intervention lasted for 12 months and consisted of a geriatric assessment, guidance and treatment, individual instruction in fall prevention, group exercise, lectures on themes related to falling, psychosocial group activities and home exercise. Of the total study population (n = 591, 97% of eligible subjects), 513(251 in the intervention group and 262 in the control group) participated in this study. The effect of the intervention on quality of life was measured using the 15D health-related quality of life instrument consisting of 15 dimensions. The data were analysed using the chi-square test or Fisher's exact test, the Mann-Whitney U-test and logistic regression. RESULTS: In men, the results showed significant differences in the changes between the intervention and control groups in depression (p = 0.017) and distress (p = 0.029) and marginally significant differences in usual activities (p = 0.058) and sexual activity (p = 0.051). In women, significant differences in the changes between the groups were found in usual activities (p = 0.005) and discomfort/symptoms (p = 0.047). For the subjects aged 65 to 74 years, significant differences in the changes between the groups were seen in distress (p = 0.037) among men and in usual activities (p = 0.011) among women. All improvements were in favour of the intervention group. CONCLUSION: Fall prevention produced positive effects on some dimensions of health-related quality of life in the community-dwelling aged. Men benefited more than women